Organization
CANYON HILLS TREATMENT FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAUX HOLLINGSWORTH (OWNER)
(505) 652-0669
Entity
Organization
Contact information
Practice address
769 ABERDEEN RD, RAEFORD, NC 28376-0029
(910) 644-8441
Mailing address
769 ABERDEEN RD, RAEFORD, NC 28376-0029
(910) 644-8441
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NC
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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